KENNETH C WEIMER MD
NPI 1174624761
Pediatrics in Mankato, MN

Q: What is Kenneth Weimer's NPI number?

The NPI number for Kenneth Weimer is 1174624761. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is Kenneth Weimer's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Weimer was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 26, 2006PECOS Enrolled

1025 MARSH ST, MANKATO, MN 56001(507) 625-4031 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 18, 2020, Jun 12, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

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About Kenneth C Weimer Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH C WEIMER MD (NPI 1174624761) is an individual pediatrics provider in Mankato, Minnesota, licensed in Minnesota (56450) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1174624761

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameKENNETH C WEIMERCredential: MD

Location Address1025 MARSH STMankato, MN 56001-4752

Mailing Address1025 Marsh StMankato, MN 56001-4752 · (507) 625-4031

Phone(507) 625-4031

Sole ProprietorNo

Enumeration DateSeptember 26, 2006

Last NPPES UpdateSeptember 18, 20205 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2020

✔ NPI 1174624761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in MN · 56450✔ Licensed in AZ · 52805✔ Licensed in WI · 43671

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 56450 (MN)

1025 MARSH ST, Mankato, MN 56001

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Secondary Practice Location 1

Location 12510 W Dunlap Ave, Ste 290Phoenix, AZ 85021-2737 · Phone (602) 789-0344 · Fax (602) 789-8389

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth C Weimer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kenneth Weimer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mayo Clinic Health System-Southwest Minnesota Region

0.1 mi

Multi-Specialty

1025 MARSH ST
Mankato, MN 56001

Reassigned Medicare billing, Minnesota enrollment
1,572 clinicians in this Medicare group

NPI 1578545422 (507) 625-4031

Sanford Health Of Northern Minnesota

205 mi

Physical Therapy

106 5TH ST SOUTH
Walker, MN 56484

Reassigned Medicare billing, Minnesota enrollment
607 clinicians in this Medicare group

NPI 1902261456 (218) 547-1900

Arizona Acute Medical Services 1 PC

1,217 mi

Hospitalist

1930 E THOMAS RD
Phoenix, AZ 85016

Reassigned Medicare billing, Arizona enrollment
302 clinicians in this Medicare group

NPI 1154860674 (602) 532-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIN MARIE CLIFFORD CNP

Nurse Practitioner